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BULILIT HEALTH SCOUTS A Child to Child Approach to Community Health Development UP-PGH Department of Pediatrics. Demographics of San Juan. Second class municipality in the Province of Batangas , Philippines Occupies the easternmost of the Province, 43 km east of Batangas City
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BULILIT HEALTH SCOUTSA Child to Child Approach to Community Health DevelopmentUP-PGH Department of Pediatrics
Demographics of San Juan • Second class municipality in the Province of Batangas, Philippines • Occupies the easternmost of the Province, 43 km east of Batangas City • Has a population of 87, 276 people in 16, 519 households • Has 42 barangaysdivided into 12 clusters • Each barangay is headed by a barangay captain and one sangguniangkabataanchairperson
UP-PGH - San Juan Partnership • As a directive from UPCM Chancellor • UP-CHDP as the organizing unit • Initial plan: For Pediatrics Department to develop a school program in collaboration with the CHDP plans
Accomplishments for the past 3 years • Community diagnosis as to the most common childhood illnesses (diarrhea, parasitism, Impacted cerumen, pediculosis, URTI/ Asthma, Child Abuse) • Development of teaching modules for all the 6 identified illnesses • Descriptive study on the K, S, A of elementary public school teachers with regards accomplishment of DepEd Health Form • Workshop for teachers as health partners in accordance with result of study conducted
Accomplishments for the past 3 years • Computer-based training of IMCI to interns and residents rotating in San Juan (Pilot Study) • Study on the awareness of San Juan on Child Abuse, followed by a workshop by the UP-PGH Child Protection Unit, headed by Dr. Madrid
Accomplishments for the past 3 years • Directive from UP-CHDP to focus on Child Advocacy rather than School Health • Development of concept of Child-to-Child Approach
Goals • Develop the child-to-child education aiming to equip key children in each barangay with the appropriate knowledge, skills and attitude on common childhood illnesses • That other children within their families, schools and communities be equipped with the exact same knowledge, skills and attitude through hand me down training • Reduce morbidity and mortality of children by making the children themselves knowledgeable on the common childhood illnesses in their area
Most common childhood health concerns/illnesses • Diarrhea • Intestinal Parasitism • Impacted Cerumen • Pediculosis • Upper Respiratory Tract Infections • Asthma • Child Abuse
Child-to-Child Approach • Refers to a style of child empowerment where children are active participants in their own development and the development of other children • Based on the belief that children, from whatever circumstances, are capable of helping themselves • Assumes that children will gain more from their development if they are active participants in the development process rather than passive recipients
Child to Child Approach • Programs employing the child-to-child approach aim to empower children with skills, knowledge and attitude to enhance not only themselves but to give them the ability to reach out to other children • Children who have acquired the appropriate skills, knowledge and attitude through various training programs are then able to share those assets with other children, in a variety of venues and using a variety of mediums
Pilot Study in Nagsaulay, San Juan • Conducted in a public elementary school • Grades 5-6 students previously involved in health-related activities • Following modules were done: Diarrhea, Parasitism, Sexual Abuse
“Bulilit Health Scouts” Training Outline • “Getting to Know You” • Introduction of the Training Workshop • Training Workshop covering 6 modules: • Diarrhea • Intestinal Parasitism • Impacted Cerumen • Pediculosis • Upper Respiratory Tract Infections and Asthma • Child Abuse
“Getting to Know You” • The task of the workshop facilitators to make the children at ease with themselves and each other in order for them to participate well and be productive in the workshop. • Activities: • Special names • Name Game
Introduction of the Training Workshop • Objectives • Be able to impart the goals of the workshop to the children • Be able to instill in them a sense of responsibility
Training Module for Diarrhea • Objectives • Define Diarrhea • Understand the effects of continuous diarrhea and vomiting • Know the signs of a dehydrated child • Know that one can give oral rehydration solution to a child with diarrhea • Know how to prepare oral rehydration solution at home • Know several methods by which diarrhea can be prevented • Know the proper technique of hand washing • Know how to administer oral rehydration solution in a child and older child with diarrhea
Training Module for Parasitism • Objectives • Define what a Parasite is • Understand how parasites are acquired and how parasites affect the body • Identify the signs and symptoms of a child with parasitism • Know several methods by which parasitism can be prevented
Training Module for Impacted Cerumen • Objectives • Appreciate the importance of hearing • Know what is an ear wax • Know what is the meaning of impacted cerumen • Know how to clean their ears properly
Training Module for URTI and Asthma • Recognize that URTI and asthma are two different disease entities • Describe symptoms and course of URTI • Describe how an asthma attack feels like • Identify that asthma is a chronic and relapsing disorder • Give ways by which an asthmatic can handle an asthma attack
Training Module for Child Abuse • Objectives • Identify a child’s rights • Identify a child’s role in the society • Understand what Child Abuse is • Differentiate the different types of child abuse • Recognize sexual abuse (through identifying good touch versus bad touch)
